2017 Membership Application
Name
*
First Name
Last Name
Firm/Agency/Company
*
Address
*
Street Address
Street Address Line 2
City
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Alabama
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State
Zip Code
Work Phone
*
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Area Code
Phone Number
Other Phone
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Area Code
Phone Number
E-mail
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CA State Bar #
Year Admitted:
Other State Bar #
Year Admitted:
Law School
Year Graduated:
Area(s) of Practice
Are you an SCBA Member?
Yes
No
Interested in becoming a mentor?
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No
Other
Please indicate your interest in a particular type of event or topic for discussion:
Do you want to be included in a directory to be made available to members of the Association?
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No
Dues per calendar year are as follows (check one):
$0 Law Student
$18 Attorney, practicing 1-3 years
$54 Attorney or individual
$154 LMF Bar Association Benefactor
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